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Evidence-based Practice in Psychology (EBPP). Lindsey Cohen. Evidence-based Practice in Psychology. Scientist-Practitioner Divide. EBP in Medical Fields. Public Policy/ Reimbursement. Quality and Accountability. APA Policy Statement on Evidence-Based Practice in Psychology (2005).
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Evidence-based Practice in Psychology (EBPP) Lindsey Cohen
Evidence-based Practice in Psychology Scientist-Practitioner Divide EBP in Medical Fields Public Policy/ Reimbursement Quality and Accountability
APA Policy Statement on Evidence-Based Practice in Psychology (2005) • “Evidence-based practice in psychology is the integration of the best available research with clinical expertise in the context of patient characteristics, culture, and preferences.”
APA Policy Statement on Evidence-Based Practice in Psychology (2005) • “Evidence-based practice in psychology is the integration of the best available research with clinical expertise in the context of patient characteristics, culture, and preferences.”
The EBP Model- The 3-Legged Stool Best available research evidence EBP Patient preferences and values Clinical expertise
Continuum of care Nomothetic (decisions based on disorders, guidelines, treatment manuals, ESTs) Evidence-based practice Idiographic (decisions based on individual patients and circumstances)
The EBP Model – Best Available Research Evidence • Adopt a scientific view of clinical psychology • Knowledge of clinical research design and methods • Strategies for accessing best available research • Ability to evaluate relevant evidence Best available research evidence
The EBP Model – Patient Preferences and Values • Therapy is a collaborative endeavor, shared-decision making • Knowledge of specific diverse groups • Ability to ascertain patient values and preferences • Respond effectively to patient preferences and values Patient preferences and values
The EBP Model – Clinical Expertise • Common factors/non-specific skills • Awareness of limits of clinical judgment • Relationship building • Assessment and diagnostic skills • Ability to implement treatments • Integration of EST with client characteristics Clinical expertise
The EBP Model • Evidence-based practice is the successful integrations of these three competencies EBP
The EBP Model • Evidence-based practice is the successful integrations of these three competencies • Clinical decisions should be guided by all three areas CD
Some Current Activities in EBP in Psychology • Developing methods and procedures to better integrate research and clinical work • New search engines, databases, training modules, etc. • Integrating EBP into clinical psychology training programs
Discussion Questions • EBP and social, community, economic perspectives? • EBP and cultural issues? • Do you adopt or want to adopt an EBP approach in your clinical work, research, or other professional areas? Why? • What is this? Flash-in-the-pan, details regarding what is and how to be a scientist-practitioner, fix for scientist-practitioner divide, new wave, mistake?